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A Deeper Look

NYS Department of Health Grants for Healthcare Organizations

July 17, 2017

Understanding the Grant Application Process and How To Be Best Prepared to Participate Many health care providers, including healthcare systems, hospitals, group practices, nursing homes, diagnostic and treatment centers, and home health agencies may be eligible for significant grants that periodically become available through various government funded programs.  Two such programs administered by the New York State Department of Health (“DOH”) were the Vital Access Provider Program (“VAP”) and the Statewide Healthcare Facility Transformation Program (”Facility Transformation Program”).  The VAP program, which was announced in December 2013, provided funding in excess of $375 million, and the Facility Transformation Program, which was […]

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Forensic Statement Analysis – The Art and Science of Analyzing Words

June 28, 2017
Wouldn't it be great if we could become human lie detectors? Being able to tell if someone is lying to you is an important skill to have during an investigation. Groucho Marx, known as a master of quick wit, was quoted as saying, "There's one way to find out if a man is honest-ask him. If he says 'yes,' you know he is a crook." However, individual personalities are complicated, and, when investigating an individual, the responses that are received may not be forthright and credible. Some people are skilled in deception; remember what our parents taught us-practice makes perfect!... More [+]

The Next Generation Audit Opinion

May 10, 2017

The AICPA significantly changed their standard audit opinion in 2012 for U.S. nonpublic entities. The International Auditing and Assurance Standards Board (“IAASB”) substantially updated their international audit reports in early 2015 and the Public Company Accounting Oversight Board (“PCAOB”) recently presented proposed wide changes to their U.S. public company audit reports in late 2016. In a sophisticated game of leapfrog, the AICPA is again considering an overhaul of the auditor’s standard report for all U.S. nonpublic audits in order to converge to many of the IAASB changes and certain of the PCAOB changes. A working draft of the U.S. audit […]

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The Super MSO Model in Urgent Care

April 25, 2017

Understanding the Super MSO Model and How it May Be Helpful in Meeting the Challenges Faced By Independent Urgent Care Operators Part II in the Series As previously discussed in Part I of this series, many independent urgent care operators discover early on, and after significant investments are made, that they may not have a real clear business strategy or roadmap to build long-term value for their business; a strategy that will ultimately lead to a successful and lucrative sale down the road.  Even though their centers may be highly profitable today, they are concerned about the financial risks associated with […]

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Choice of Entity – Part I

April 5, 2017

An LLC is the Best Thing Since Sliced Bread….or Is It? Background Limited liability companies (“LLCs”) have been around for quite a while.[1] They have become the most popular form of doing business,[2] and for good reason. LLCs provide its owners (technically called “members”) with the same protection from legal liabilities as do corporations.[3] Most domestic LLCs with two or more members are, in most cases, treated as partnerships for income tax purposes. LLCs with only one member are almost always treated as disregarded entities for income tax purposes. Every LLC has the right to make a “Check the Box” […]

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Revenue Recognition – The Last Frontier

April 3, 2017

Importance Revenue is one of the most important indicators of a successful business. It is a key statistic used in the assessment of a company’s financial health, performance and future.  Such assessment has long been clear to the financial world. For example, revenue is the starting point for virtually any historical analysis and forecast about a company’s operations. Revenue is also a primary source of valuation in many industries, including those that are publically traded, and is a secondary source for many others. Users of financial statements are also keenly interested in peer performance and trends of revenue. There is […]

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The Challenges Faced by Independent Urgent Care Operators

March 8, 2017

Understanding the Market Forces at Play, Addressing the Challenges, and Developing Long-Term Strategies for Sustainable Growth Part I in the Series Many independent urgent care operators discover early on, and after significant investments are made, that they may not have a real clear business strategy or roadmap to build long-term value for their business; a strategy that will ultimately lead to a successful and lucrative sale down the road.  Even though their centers may be highly profitable today, they are concerned about the financial risks associated with opening new centers.  Yet they recognize that they need to grow in order to […]

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ACH Payments: A New Front in the Fraud Wars

Data breaches and cyberattacks continue to receive a lot of media attention, while another technology-enabled crime — Automated Clearing House (ACH) fraud — is going relatively unnoticed. Your clients likely use the ACH network every day to make debit and credit purchases, and their account information may be more vulnerable than they realize. What It Is The surging popularity of the ACH is understandable. Consumers can use it to make electronic payments directly from their checking or savings accounts to other parties’ accounts, eliminating the need to pay bills with paper checks or physical credit cards. Likewise, companies use the […]

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NYC Requires Employers to Have Written Contracts with Independent Contractors

February 27, 2017

New York City (“NYC”) became the first city in the USA to pass legislation to protect independent contractors (“Freelance workers” or “Freelancers”) by passing the Freelance Isn’t Free Act (“FIFA”), effective May 15, 2017. FIFA establishes and enhances protections for freelance workers. Briefly, it requires their right to a written contract between the hiring party and the Freelancer, the right to be paid timely and in full, and the right to be free of retaliation. FIFA also establishes penalties for violations of these rights, including statutory damages, double damages, injunctive relief, attorney’s fees, and other such remedies as may be […]

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Bottom Dollar Guarantees – Gone with the Wind

February 8, 2017

About 18 months ago, I issued an E-Blast that dealt with the fact that time was running out on using “bottom dollar guarantees” as a way to shift liabilities allocated to a partner who needs additional debt so as to “cover” negative tax capital accounts so as to avoid gain recognition. Well, the Department of the Treasury issued temporary regulations on October 5, 2016 that, in effect, ended the viability of this planning idea. In general, one of the many tax advantages of a partnership over other entities is that a partner’s share of partnership liabilities increases the partner’s outside […]

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